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210 S Palisade Dr Suite 102 Santa Maria CA 93454-8901 | |
| (805) 928-7951 | |
| (805) 928-6839 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 210 S Palisade Dr, Santa Maria, California |
| Authorized Official Name and Position | Ronald E Castle (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 8059312501 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2050 S Blosser Rd Santa Maria CA 93458-7310 Ph: (805) 361-8028 | 210 S Palisade Dr Suite 102 Santa Maria CA 93454-8901 Ph: (805) 928-7951 |
| NPI Number | 1891118147 |
|---|---|
| Provider Enumeration Date | 01/22/2014 |
| Last Update Date | 01/21/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891118147 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Robert S. Barry Md, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1420 S Miller St Ste A, Santa Maria, CA 93454 Phone: 805-922-3033 | |
Nightingale Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1414 S Miller St, Suite 4, Santa Maria, CA 93454 Phone: 805-349-6336 | |